go back

New York rates for HCPCS 46280

Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.22 / $4,940.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.43 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.70 / $545.70 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $518.38 / $1,276.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.93 / $452.93 / $1,040.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.39 / $4,619.14 / $5,591.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.70 / $555.00 / $6,511.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $3,972.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.11 / $577.11 / $1,535.47